What is the primary treatment for generalized anxiety disorder (GAD)?

The primary treatment for generalized anxiety disorder (GAD) is indeed selective serotonin reuptake inhibitors (SSRIs) or cognitive-behavioral therapy (CBT). SSRIs, such as sertraline and escitalopram, are commonly prescribed because they help balance serotonin levels in the brain, which can alleviate symptoms of anxiety. These medications are generally well-tolerated and have a favorable safety profile, making them a first-line treatment option for GAD.

Cognitive-behavioral therapy is also a highly effective approach, focusing on helping individuals identify and change negative thought patterns and behaviors associated with anxiety. This type of therapy empowers patients by providing them with coping strategies and practical skills to manage their anxiety more effectively.

In contrast, beta-blockers primarily address physical symptoms of anxiety, such as rapid heartbeat, and are not considered a first-line treatment for GAD as they do not address the underlying psychological components of the disorder. Antipsychotics are typically used to treat conditions such as schizophrenia and bipolar disorder and are not indicated for the treatment of GAD. Monoamine oxidase inhibitors (MAOIs), while effective for several anxiety disorders, are not commonly used due to their dietary restrictions and potential for severe interactions with other medications.